Provider Demographics
NPI:1316100068
Name:ADAMS-OYEKANMI, IVY M (RN)
Entity type:Individual
Prefix:MRS
First Name:IVY
Middle Name:M
Last Name:ADAMS-OYEKANMI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10151 MEADOW WOODS LN
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-9713
Mailing Address - Country:US
Mailing Address - Phone:937-684-4234
Mailing Address - Fax:937-619-0880
Practice Address - Street 1:10151 MEADOW WOODS LN
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-9713
Practice Address - Country:US
Practice Address - Phone:937-684-4234
Practice Address - Fax:937-619-0880
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 311226163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse